DR. ANDREW RENFRO CRISWELL (NPI# 1609488717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609488717 |
| Entity Type | Individual |
| Full Name | DR. ANDREW RENFRO CRISWELL |
| Credential | PHARMD |
| Practice Address |
3251 W Sunset Ave Springdale AR 72762-4947 |
| Practice Telephone | 4797561290 |
| Practice Fax Number | 4797561455 |
| Mailing Telephone | 4797561290 |
| Mailing Fax Number | 4797561455 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PD14046 | AR | Pharmacy Service Providers |
| Street Address |
3251 W SUNSET AVE |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72762-4947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659628212 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3251 W Sunset Ave, Springdale, AR 72762-4947 | 2012-08-13 |
| 1720691637 | Megan Christine Phillips | Pharmacist | 3251 W Sunset Ave, Springdale, AR 72762-4947 | 2020-08-29 |
| 1114442738 | Kara Michelle High | Pharmacist | 3251 W Sunset Ave, Springdale, AR 72762-4947 | 2017-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013443 | Samantha G Abbey | Behavior Technician | 6836 Issac's Orchard Rd, Springdale, AR 72762 | 2020-05-05 |
| 1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
| 1366922320 | Mercy Northwest Arkansas Ambulatory Services LLC | Clinic/Center | 4962 Elm Springs Road, Suite 5, Springdale, AR 72762 | 2018-08-20 |
| 1790281087 | Cheryl Nikol Treat | Nurse Practitioner | 6801 Isaacs Orchard Rd Ste 211, Springdale, AR 72762 | 2018-04-04 |
| 1902304876 | Northwest Arkansas Physical Ability Testing Center, P.a. | Clinic/Center | 4001 Wagon Wheel Road, Springdale, AR 72762 | 2018-01-25 |
| 1609387612 | Rodriguez Dentistry Pllc | Dentist | 1521 Executive Place, Suite A, Springdale, AR 72762 | 2017-10-17 |
| 1306370630 | Medworks LLC | Internal Medicine | 986 Elmwood, Suite C, Springdale, AR 72762 | 2017-04-13 |
| 1790223006 | Sam's West, Inc. | Technician/Technologist | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
| 1255875746 | Arkansas Childrens Northwest, Inc. | General Acute Care Hospital | 2601 South 56th Street, Springdale, AR 72762 | 2016-12-19 |
| 1114473261 | Whitney E Mix | Counselor | 1672 South 48th Street, Suite B, Springdale, AR 72762 | 2016-08-29 |
| Find all providers in zip 72762 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656596 | Andrea Eads | Pharmacist | 3514 Sweetgum Ln, Springdale, AR 72764-6611 | 2020-07-14 |
| 1881035590 | Aaron R Pruitt | Pharmacist | 3803 Endicott Pl, Springdale, MD 20774-5431 | 2013-07-10 |
| 1740529916 | John Kelvin Rissinger | Pharmacist | 1945 Butterfield Coach Rd, Springdale, AR 72764-7320 | 2013-02-07 |
| 1962754135 | Natalie Eckman | Pharmacist | 1100 East Kemper Road, Springdale, OH 45246 | 2012-10-11 |
| 1861799504 | Teresa D. Mcchristian | Pharmacist | 2799 Holly Pl, Springdale, AR 72764-6018 | 2011-02-15 |
| 1386940369 | Layne Alexander Moore | Pharmacist | 22661 Lakeview Rd, Springdale, AR 72764-9459 | 2011-02-08 |
| 1598864456 | Charles F Watts | Pharmacist | 4255 Brighten Ave, Springdale, AR 72762-0432 | 2006-09-21 |
| 1437251154 | David M Sevic | Pharmacist | 838 Pittsburgh St, Springdale, PA 15144-1623 | 2006-09-02 |
| 1346211513 | Charles Freeman Shuster | Pharmacist | 400 W Emma Ave, Springdale, AR 72764-4471 | 2006-01-27 |
| 1306832225 | City Pharmacy of Springdale Inc | Pharmacist | 701 S Thompson St, Suite A, Springdale, AR 72764-4248 | 2005-09-26 |
| Find all providers in SPRINGDALE | ||||
| City | SPRINGDALE |
| Zip Code | 72762 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.